韦千秋 刘英伟 薛敏 柴春莹 陈丽娟 吴可欣

[摘要]目的探討团队管理式延续性护理在白内障手术患者中的应用研究。方法选取2018年1月至2020年1月牡丹江医学院附属红旗医院一分院眼科收治的白内障手术治疗患者60例，随机分为对照组（ n=30）和观察组（ n=30）。对照组患者术后给予常规护理，观察组在对照组的护理基础上进行团队管理式延续性护理，比较两组视力恢复情况、并发症发生率、治疗依从性及患者满意度。视力恢复情况包括前房深度、眼压和裸眼视力。结果观察组前房深度和眼压明显低于对照组，裸眼视力≥0.5比例明显高于对照组，差异有统计学意义（ P <0.05）;对照组术后并发症发生率明显高于观察组，差异有统计学意义（ P <0.05）;观察组治疗依从性和满意度明显高于对照组，差异有统计学意义（ P <0.05）。结论团队管理式延续性护理能够明显改善患者视力，提高患者的治疗依从性，安全可靠。

[关键词]白内障;团队管理;延续性护理;眼压;前房

[中图分类号] R473.77 [文献标识码] A  [文章编号]2095-0616（2021）22-0105-04

Research  on  the  application  of team -managed  continuous nursing in patients undergoing cataract surgery

WEI  Qianqiu1   LIU 2Yingwei   XUE  Min（  3）  CHAI 2Chunying   CHEN 2Lijuan   WU  Kexin

1. Department of Optometry， the First Branch of Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang， Mudanjiang 157000， China;2. Department Ⅱ of Ophthalmology， the First Branch of Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang， Mudanjiang 157000， China;3. Department Ⅲ of Ophthalmology， the First Branch of Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang， Mudanjiang 157000， China

[Abstract] Objective To investigate the research on the application of team-managed continuous nursing in patients undergoing cataract surgery. Methods A total of 60 patients undergoing cataract surgery admitted to and treated in the Department of Ophthalmology in the First Branch of Hongqi Hospital Affiliated to Mudanjiang Medical University from January 2018 to January 2020 were selected and randomly divided into the control group （n=30） and the observation group （n=30）. Patients in the control group were treated with conventional nursing after surgery， while those in the observation group were treated with team-managed continuous nursing on the basis of nursing in the control group. The recovery of visual acuity， incidence of complication， treatment compliance and patient satisfaction of the two groups were compared. The recovery of visual acuity included anterior chamber depth， intraocular pressure and naked eye visual acuity. Results The anterior chamber depth and intraocular pressure in the observation group were significantly lower than those in the control group， and the ratio of uncorrected visual acuity ≥0.5 was significantly higher than that in the control group， with statistically significant differences （P <0.05）. The incidence of postoperative complications in the control group was significantly higher than that in the observation group， with statistically significant difference （P <0.05）. The treatment compliance and satisfaction of the observation group were significantly higher than those of the control group， with statistically significant differences （P <0.05）. Conclusion Team-managed continuous nursing can obviously improve patients' visual acuity and treatment compliance， which is safe and reliable.

[Key words] Cataract; Team management; Continuous nursing; Intraocular pressure; Anterior chamber

近年来白内障手术逐渐发展，但围术期多种诱因可使患者泪膜稳定性下降，导致或加重干眼不适症状，且术后可能出现出血、晶状体后囊破裂、角膜失代偿等并发症[1-2]。因此，术后护理干预对患者的恢复至关重要[3]。研究显示，延续性护理对提高患者的依从性及生活质量起着举足轻重的作用[4]。本研究旨在比较分析不同护理措施对白内障手术治疗患者视力恢复情况及安全性的影响。

1资料与方法

1.1一般资料

选取2018年1月至2020年1月牡丹江医学院附属红旗医院一分院（我院）眼科收治的白内障手术治疗患者60例，随机分为对照组和观察组，每组各30例。对照组采用常规护理，观察组在对照组的基础上采用团队管理式延续性护理方式。……